Individual
ANDY R BIERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W KIRBY AVE, CHAMPAIGN, IL 61821-5410
(217) 552-1730
Mailing address
1801 W KIRBY AVE, CHAMPAIGN, IL 61821-5410
(217) 552-1730
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2585
IL
Other
Enumeration date
06/06/2012
Last updated
09/22/2015
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